针麻在颞顶枕区颅脑手术中的应用

APPLICATION OF ACUPUNCTURE ANESTHESIA DURING CRANIOCEREBRAL OPERATION IN TEMPORO-FRONTOOCCIPIAL REGION

颅脑外科手术由于手术时间较长,手术难度较大,通常在全身麻醉气管内插管下进行。自从1965年针刺麻醉应用于颅脑手术,尤其用于前颅凹手术,因其效果好、安全简便、病人乐意接受。

The paper reports 174 cases of brain operations in temporo-fronto-occipital region by using the regime of combined acupuncture and medication. The patients comprised of 122 males and 52 females. The acupoints consisted of ear needling and body needling. Adjuvant drugs used were half-dosage Innovar and 0.1% lidocaine for scalp infiltration. According to the documented two-grade scaling criteria, 97.1% patients belonged to grade I. No obvious discrepancy existed between ear needling group and body needling one. Three controlled groups are presented for comparison: 1) 0.1% lidocaine alone; 2) acupuncture plus normal saline; 3) acupuncture plus 0.1% lidocaine. The resultant P value was less than 0.005, with remarkable statistical significance. It is revealed that 0.1% lidocaine per se cannot achieve satisfactory analgesia, whereas the efficacy of acupuncture can be greatly enhanced by the combination of 0.1% lidocaine and acupuncture. This method is proved as an effectual means to offset the incomplete analgesia of acupuncture, especially for those requiring intraoperative demonstration of surgical effects, to avoid impairment to functional areas of cerebral cortex, which are undoubtedly superior to general anesthesia.